Combined Effect of Graded Thera-Band and Scapular Stabilization Exercises on Shoulder Adhesive Capsulitis Post-Mastectomy

Authors

Nancy H. Aboelnour, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayat St, Bein El sarayat, Dokki, PO 12624, Giza, Egypt. nancy.hassan@cu.edu.eg.
FatmaAlzahraa H. Kamel, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayat St, Bein El sarayat, Dokki, PO 12624, Giza, Egypt.
Maged A. Basha, Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraidah, Qassim, Saudi Arabia.
Alshimaa R. Azab, Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Islam M. Hewidy, Adjunct Faculty at Physical Therapy Department, New York Medical College, Valhalla, NY, USA.
Mohamed Ezzat, Department of Physical Therapy for Orthopedics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Noha M. Kamel, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayat St, Bein El sarayat, Dokki, PO 12624, Giza, Egypt.

Author Type(s)

Faculty

DOI

10.1007/s00520-023-07641-6

Journal Title

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer

First Page

215

Document Type

Article

Publication Date

3-16-2023

Department

Physical Therapy

Abstract

PURPOSE: The main aim of the trial was to assess the combined impact of graded Thera-Band strengthening exercises and scapular stabilization exercises on shoulder pain, physical function, and quality of life (QoL) in post-mastectomy adhesive capsulitis (AC). METHODS: Seventy females with unilateral post-mastectomy AC partook in the trial. Participants were subdivided equally into two groups at random. Both groups obtained the traditional physical therapy program; in addition, the intervention group received graded Thera-Band exercises for shoulder muscles and scapular stabilization exercises 5 days a week for 8 weeks. Range of motion (ROM) and muscle power of shoulder were assessed by digital goniometer and handheld dynamometer, respectively. Disability of the Arm, Shoulder, and Hand questionnaire (DASH) was utilized for assessment of shoulder function and visual analogue scale (VAS) for pain measurement while short-form (SF-36) for QoL assessment. All evaluation data was recorded prior to the trial and at the eighth week of interventions for both groups. RESULTS: All participants achieved improvements in shoulder ROM, muscle power, pain, and all aspects of QoL; however, higher statistical improvements were reported in all measurements with respect to strengthening exercises group (p < 0.001). CONCLUSION: The addition of graded Thera-Band strengthening exercises and scapular stabilization exercises in post-mastectomy AC rehabilitation program has significant benefits in shoulder function and patients' QoL. TRIAL REGISTRATION: This study is retrospectively registered at ClinicalTrials.gov NCT05311839.

Recommended Citation

Aboelnour, N. H., Kamel, F. H., Basha, M. A., Azab, A. R., Hewidy, I. M., Ezzat, M., & Kamel, N. M. (2023). Combined Effect of Graded Thera-Band and Scapular Stabilization Exercises on Shoulder Adhesive Capsulitis Post-Mastectomy. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 31 (4), 215. https://doi.org/10.1007/s00520-023-07641-6